What Is Gout?

Gout overview

Gout is a general term for a variety of conditions caused by a buildup of uric acid. This buildup usually affects your feet. If you have gout, you’ll probably feel swelling and pain in the joints of your foot, particularly your big toe. Sudden and intense pain, or gout attacks, can make it feel like your foot is on fire.

Stages
and symptoms of gout

Asymptomatic hyperuricemia

Hyperuricemia happens when you have too much uric acid in your blood. If you have no other symptoms, it’s called asymptomatic hyperuricemia.

Acute gout

Acute gout happens when hyperuricemia causes uric acid crystals to develop in one of your joints. It causes intense pain and swelling. Your joint may also feel warm. Your symptoms will probably show up suddenly and last for 3 to 10 days. You may experience multiple acute gout attacks over a period of months or years.

Interval gout

Interval gout is the period between acute gout attacks. It’s also called intercritical gout. You won’t have any symptoms during this stage.

Chronic tophaceous gout

Chronic tophaceous gout can happen if you leave your gout untreated. It can take 10 years or longer to develop. In this stage, hard nodules (tophi) develop in your joints and the skin and soft tissue surrounding them. Tophi can also develop in other parts of your body, such as your ears. They can cause permanent damage to your joints.

Causes
of gout

Gout is a complex disease. There are a variety of factors that can play a role in causing it. Certain conditions, such as blood and metabolism disorders, can cause your body to produce too much uric acid. Drinking too much alcohol can also lead to excess uric acid.

Certain foods can also cause gout when you eat too much of them. These include:

shellfish

red meat

organ meat

sweet juices

salt

You can also develop gout if your body isn’t eliminating uric acid properly. If you’re dehydrated or starved, it can make it difficult for your body to excrete uric acid. This causes it to build up as deposits in your joints.

Some diseases and disorders, such as kidney or thyroid problems, can also impair your body’s ability to eliminate uric acid. Certain medications can also make it hard for your body to eliminate uric acid. These medications include diuretics and immunosuppressive fungal medications, such as cyclosporine.

Diagnosing
gout

Your doctor can make a diagnosis of gout based on a review of your medical history, a physical exam, and your symptoms. Your doctor will likely base your diagnosis on your description of your joint pain, how often you’ve experienced intense pain in your joint, and how red or swollen the area is.

Your doctor may also order a test to check for a buildup of uric acid in your joint. They will collect a sample of fluid from your joint to learn if it contains uric acid. They may also want to take an X-ray of your joint.

Treating
gout

In most cases, your regular doctor can treat your gout. If you have severe complications or develop chronic tophaceous gout, your doctor may refer you to a rheumatologist. This type of doctor specializes in arthritis.

Your doctor’s prescribed treatment plan will depend on the stage and severity of your gout. Your doctor may prescribe: